Tablel-2. Criteria for Testing for Diabetes in Asymptomatic Adult Individuals [14]

 1. Testing for diabetes should be considered in all individuals at age 45 years and
 above, particularly in those with a BMI 125 kg/m2*, and, if normal, should be repeated
 at 3-year intervals.
 2. Testing should be considered at a younger age or be carried out more frequently in
 individuals who are overweight (BMI 125 kg/m2*) and have additional risk factors:
 are habitually physically inactive
 have a first-degree relative with diabetes
 are members of a high-risk ethnic population (e.g., African-American, Latino,
 Native American, Asian-American, Pacific Islander)
 have delivered a baby weighing >9 lb or have been diagnosed with GDM
 are hypertensive (140/90 mmHg)
 have an HDL cholesterol level S35 mg/dl (0.90 mmol/1) and/or a triglyceride level
 ?250 mg/dl (2.82 mmol/1)
 have PCOS
 on previous testing, had IGT or IFG
 have other clinical conditions associated with insulin resistance (e.g. PCOS or
 acanthosis nigricans)
 have a history of vascular disease


Table 1-3. Criteria for the Diagnosis of Diabetes [3]


1. Symptoms of diabetes and casual plasma glucose ?200 mg/dl (11.1 mmol/1). Casual
is defined as any time of day without regard to time since last meal. The classic
symptoms of diabetes include polyuria, polydipsia, and unexplained weight loss.

OR

2. Fasting Plasma Glucose (FPG) 2126 mg/dl (7.0 mmol/1). Fasting is defined as no
caloric intake for at least 8 h.

OR

3. 2-h PG 1200 mg/dl (11.1 mmol/1) during an Oral Glucose Tolerance Test (OGTT).
The test should be performed as described by the World Health Organization (4),
using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in
water.